diff --git a/admin/src/views/patient/reception/index.vue b/admin/src/views/patient/reception/index.vue
index 5cbb71e9d..3f16ae5a1 100644
--- a/admin/src/views/patient/reception/index.vue
+++ b/admin/src/views/patient/reception/index.vue
@@ -84,10 +84,18 @@
                                         <el-icon v-else><ChatDotRound /></el-icon>
                                     </button>
                                 </el-tooltip>
-                                <el-tooltip content="发起通话" placement="top">
-                                    <button class="row-icon-btn call" :disabled="webConsultationBlocked" @click="handleCall(row)">
-                                        <el-icon><Phone /></el-icon>
-                                    </button>
+                                <el-tooltip :content="webConsultationBlocked ? webConsultationMessage : '发起通话'" placement="top">
+                                    <span class="row-call-action">
+                                        <button
+                                            class="row-icon-btn call"
+                                            :disabled="webConsultationBlocked"
+                                            :aria-label="webConsultationBlocked ? webConsultationMessage : '发起通话'"
+                                            @click="handleCall(row)"
+                                        >
+                                            <el-icon><Phone /></el-icon>
+                                            <span v-if="webConsultationBlocked">已停用</span>
+                                        </button>
+                                    </span>
                                 </el-tooltip>
                             </div>
                         </div>
@@ -214,7 +222,7 @@ const DiagnosisEdit = defineAsyncComponent(() => import('@/views/tcm/diagnosis/e
 
 const POLL_MS = 5_000
 const PAGE_SIZE = 15
-const { webConsultationBlocked, ensureWebConsultationAllowed } = useDoctorWebConsultation()
+const { webConsultationBlocked, webConsultationMessage, ensureWebConsultationAllowed } = useDoctorWebConsultation()
 
 interface QueueRow {
     id: number
@@ -1010,16 +1018,25 @@ onUnmounted(() => {
     font-size: 15px;
     padding: 0;
 }
-.row-icon-btn:hover {
+.row-call-action {
+    display: inline-flex;
+}
+.row-icon-btn.call:disabled {
+    width: auto;
+    gap: 4px;
+    padding: 0 6px;
+    font-size: 12px;
+}
+.row-icon-btn:hover:not(:disabled) {
     background: var(--rx-accent-soft);
     color: var(--rx-accent-strong);
     border-color: var(--rx-accent);
     transform: translateY(-1px);
 }
-.row-icon-btn:active {
+.row-icon-btn:active:not(:disabled) {
     transform: scale(0.92);
 }
-.row-icon-btn.notify:hover {
+.row-icon-btn.notify:hover:not(:disabled) {
     background: #fff7e6;
     color: var(--rx-warning);
     border-color: var(--rx-warning);
diff --git a/admin/src/views/tcm/diagnosis/index.vue b/admin/src/views/tcm/diagnosis/index.vue
index bf69f05ec..f5916ee13 100644
--- a/admin/src/views/tcm/diagnosis/index.vue
+++ b/admin/src/views/tcm/diagnosis/index.vue
@@ -1,6 +1,5 @@
 <template>
     <div class="tcm-diagnosis">
-        <DoctorWebConsultationNotice />
         <el-card class="filter-card !border-none" shadow="never">
             <!-- 第一行：日期 + 患者搜索 -->
             <div class="filter-main">
@@ -768,7 +767,6 @@
 </template>
 
 <script setup lang="ts" name="tcmDiagnosis">
-import DoctorWebConsultationNotice from '@/components/doctor-web-consultation-notice/index.vue'
 import { tcmDiagnosisLists, tcmDiagnosisDelete, tcmDiagnosisAssign, tcmDiagnosisGuahaoLogList, getAssistants, generateMiniProgramQrcode, generateOrderQrcode, getWechatChatRecords, addWechatChatRecord, deleteWechatChatRecord, getWechatExternalContact, fillIdCard, diagnosisReadonlyDetail } from '@/api/tcm'
 import { orderCreate } from '@/api/order'
 import { cancelAppointment } from '@/api/doctor'
diff --git a/admin/tests/doctor-web-consultation.test.cjs b/admin/tests/doctor-web-consultation.test.cjs
index 06b2de34d..ed5450278 100644
--- a/admin/tests/doctor-web-consultation.test.cjs
+++ b/admin/tests/doctor-web-consultation.test.cjs
@@ -333,12 +333,87 @@ test('installer requests are public, deduplicated across notices, cached, and re
     assert.equal(transport[1].withToken, false)
 })
 
-test('the actual reception, diagnosis and both appointment list entries compile with the shared notice', () => {
+test('consultation entries retain the shared notice while the patient list compiles without it', () => {
     for (const name of ['views/patient/reception/index.vue', 'views/tcm/diagnosis/index.vue', 'views/tcm/appointment/list.vue', 'views/tcm/appointment/list_h5.vue']) {
         const { descriptor, errors } = parse(read(name), { filename: name })
         assert.deepEqual(errors, [])
         const script = compileScript(descriptor, { id: name })
-        assert.equal(script.bindings.DoctorWebConsultationNotice, 'setup-const')
+        assert.equal(script.bindings.DoctorWebConsultationNotice, name === 'views/tcm/diagnosis/index.vue' ? undefined : 'setup-const')
         assert.deepEqual(compileTemplate({ source: descriptor.template.content, filename: name, id: name, compilerOptions: { bindingMetadata: script.bindings } }).errors, [])
     }
 })
+
+test('reception makes doctor cutoff visible and blocks calls while preserving administrator and assistant access', async () => {
+    const { descriptor } = parse(read('views/patient/reception/index.vue'))
+    const script = compileScript(descriptor, { id: 'reception-cutoff' })
+    const template = compileTemplate({ source: descriptor.template.content, filename: 'reception.vue', id: 'reception-cutoff', compilerOptions: { bindingMetadata: script.bindings } })
+    assert.deepEqual(template.errors, [])
+    const render = moduleFrom(template.code).render
+    const passthrough = { setup: (_, { slots }) => () => vue.h('div', slots.default?.()) }
+    const lifecycle = { ...vue, onMounted() {}, onUnmounted() {}, defineAsyncComponent: () => passthrough }
+    let clock = cutoff - 1
+    const store = vue.reactive({ userInfo: { ...doctor, web_consultation_policy: schedule }, serverTimeOffsetMs: 0 })
+    const warnings = [], requests = [], opened = []
+    const feedback = { msgWarning: message => warnings.push(message) }
+    const hook = moduleFrom(read('hooks/useDoctorWebConsultation.ts'), name => {
+        if (name === 'vue') return lifecycle
+        if (name === '@/stores/modules/user') return { default: () => store }
+        if (name === '@/api/app') return {}
+        if (name === '@/utils/feedback') return { default: feedback }
+        if (name === '@/utils/doctor-web-consultation') return policy
+        throw new Error(name)
+    }, { Date: { now: () => clock } })
+    let onSignature = () => ({})
+    const state = moduleFrom(script.content, name => {
+        if (name === 'vue') return lifecycle
+        if (name === '@/hooks/useDoctorWebConsultation') return hook
+        if (name === '@/api/patient' || name === '@/api/doctor') return {}
+        if (name === '@/api/tcm') return { getCallSignature: async params => { requests.push(params); return onSignature() } }
+        if (name === '@/utils/feedback') return { default: feedback }
+        if (name === '@/utils/diag-display') return { formatGender: () => '男' }
+        if (name === '@/utils/diabetes-discovery-display') return {}
+        if (name === '@element-plus/icons-vue') return Object.fromEntries(['Phone', 'Search', 'ChatDotRound', 'Loading'].map(key => [key, passthrough]))
+        if (name.endsWith('.vue')) return { default: passthrough }
+        throw new Error(name)
+    }, { ref: vue.ref, computed: vue.computed, watch: vue.watch }).default.setup({}, { expose() {} })
+    const row = { id: 90, patient_id: 50, source_patient_id: 50, diagnosis_id: 70, patient_name: '测试患者', appointment_type: 'video' }
+    state.queue.value = [row]
+    state.chatDialogRef.value = { open: value => opened.push(value) }
+    async function markup() {
+        const app = vue.createSSRApp({ render: () => render({}, [], {}, vue.proxyRefs(state)) })
+        app.config.warnHandler = () => {}
+        for (const name of ['el-input', 'el-icon', 'el-tag', 'el-empty', 'el-dialog', 'el-button']) app.component(name, passthrough)
+        app.component('el-tooltip', { props: ['content'], setup: (props, { slots }) => () => vue.h('div', { 'data-tooltip': props.content }, slots.default?.()) })
+        for (const name of ['loading', 'perms']) app.directive(name, { getSSRProps: () => ({}) })
+        return renderToString(app)
+    }
+
+    assert.match(await markup(), /class="row-icon-btn call" aria-label="发起通话"/)
+    await state.handleCall(row)
+    assert.equal(requests.length, 1)
+    assert.equal(opened.length, 1)
+
+    // A signature that returns after the deadline must never open the calling window.
+    onSignature = () => { clock = cutoff; return {} }
+    await state.handleCall(row)
+    assert.equal(requests.length, 2)
+    assert.equal(opened.length, 1)
+    const expired = await markup()
+    assert.match(expired, /class="row-icon-btn call" disabled aria-label="[^"]*桌面应用/)
+    assert.match(expired, /<span>已停用<\/span>/)
+    assert.match(expired, /data-tooltip="[^"]*桌面应用/)
+    assert.doesNotMatch(expired, /class="row-icon-btn notify" disabled/)
+    await state.handleCall(row)
+    assert.equal(requests.length, 2)
+    assert.equal(opened.length, 1)
+    assert.equal(warnings.length, 2)
+
+    for (const identity of [{ root: 1, role_ids: [1] }, { root: 0, role_ids: [2] }]) {
+        Object.assign(store.userInfo, identity)
+        assert.match(await markup(), /class="row-icon-btn call" aria-label="发起通话"/)
+        assert.doesNotMatch(await markup(), /<span>已停用<\/span>/)
+        await state.handleCall(row)
+    }
+    assert.equal(requests.length, 4)
+    assert.equal(opened.length, 3)
+})
diff --git a/artifacts/doctor-web-consultation-build-20261027.log b/artifacts/doctor-web-consultation-build-20261027.log
new file mode 100644
index 000000000..48ea44f7d
--- /dev/null
+++ b/artifacts/doctor-web-consultation-build-20261027.log
@@ -0,0 +1,521 @@
+vite v6.4.2 building for production...
+transforming...
+
+ WARN  Browserslist: browsers data (caniuse-lite) is 6 months old. Please run:
+  npx update-browserslist-db@latest
+  Why you should do it regularly: https://github.com/browserslist/update-db#readme
+
+✓ 4118 modules transformed.
+
+ WARN  node_modules/.pnpm/tcplayer.js@5.3.4-beta.32/node_modules/tcplayer.js/dist/tcplayer.v5.3.4.min.js (3199:26): Use of eval in "node_modules/.pnpm/tcplayer.js@5.3.4-beta.32/node_modules/tcplayer.js/dist/tcplayer.v5.3.4.min.js" is strongly discouraged as it poses security risks and may cause issues with minification.
+
+rendering chunks...
+computing gzip size...
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+- Adjust chunk size limit for this warning via build.chunkSizeWarningLimit.
+
+✓ built in 2m 40s
diff --git a/artifacts/doctor-web-consultation-policy-audit-20261027.md b/artifacts/doctor-web-consultation-policy-audit-20261027.md
new file mode 100644
index 000000000..c18642db6
--- /dev/null
+++ b/artifacts/doctor-web-consultation-policy-audit-20261027.md
@@ -0,0 +1,71 @@
+# 医生网页面诊停用策略审计
+
+日期：2026-10-27。范围：只读审计前端共享策略、接诊台调用链、服务端门禁和既有测试；未修改业务代码、配置或测试，未访问真实患者接口或数据库。已读取根 `AGENTS.md`；本仓库当前没有 `.trellis/` 目录。
+
+本次确认的产品规则：**仅医生停止网页拨号，管理员和医助保留；患者列表移除整块公告。** 以下结论按该规则评估。
+
+## 结论
+
+现有前后端门禁对“非 root，且角色数组包含医生角色 1”的账号一致生效，接诊台患者行的常规调用链没有发现遗漏守卫。看到“已停用”公告本身不能证明当前账号应被禁止拨号：公告只看截止日期，管理员及医助按明确要求仍可拨号。改善接诊台停用按钮的可见反馈、移除患者列表公告，不需要扩大角色限制。
+
+没有当前实际登录账号身份或线上请求证据，不能把此次反馈确定归因为某个账号角色错误。下述结论证明代码层面的受众和入口覆盖，不等同于线上浏览器端到端验证。
+
+## 角色与时间规则
+
+- `admin/src/utils/doctor-web-consultation.ts:83`：`isConsultationDoctor()` 要求 `Number(root) !== 1`、`role_ids` 为数组且包含数值化后的 `1`。混合角色 `[2, 1]` 仍视为医生；root 始终豁免。
+- 同文件 `:87`、`:91`：截止当刻起到期；只有医生且到期时 `isDoctorWebConsultationBlocked()` 为真。
+- `admin/src/hooks/useDoctorWebConsultation.ts:72`–`:76`：公告阶段、全局到期状态与账号阻断状态分开计算。公告不按账号角色隐藏，因此管理员/医助看到公告但可拨号是现有设计的直接结果。
+- Hook 在挂载、每秒时钟、每分钟配置刷新、窗口聚焦/重新可见时更新；点击守卫会立即校准时间。服务器时间偏移用于避免本机时钟影响截止判断。刷新失败时保留上一份有效配置；完全没有有效配置时前端放行，服务端仍逐次判断。
+- `server/app/adminapi/logic/auth/AdminLogic.php:320` 从数据库给个人信息返回整数数组 `role_ids`；`server/app/common/cache/AdminTokenCache.php:90` 给可信 token 身份返回 `role_id`。前后端字段名不同是各自数据契约，不是发现的字段拼写错误。
+- `server/app/adminapi/service/DoctorWebConsultationPolicy.php:48`、`:54`：服务端同样豁免 root，数值化可信 token 中的 `role_id` 后检查医生角色 1。角色来自登录身份，不取请求参数。
+- 当前仓库配置 `server/config/doctor_web_consultation.php:13` 是北京时间 **2026-10-25 00:00:00**，已经过期。前端从服务端取得策略，不另写截止日期。
+
+角色判断的实际边界：只有医助角色 `[2]`、管理角色 `[3,7,8]`、root 均应保留通话；含医生角色的多角色账号受限。`role_ids` 缺失或非数组时前端不认定为医生，不过正常个人信息端点已经返回规范字段。此次没有证据表明正常返回格式异常，不建议额外改变角色规则。
+
+## 接诊台和服务端门禁覆盖
+
+接诊台 `admin/src/views/patient/reception/index.vue` 的患者行在审计开始时已经具备：
+
+1. 按钮 `:disabled="webConsultationBlocked"`。
+2. `handleCall()` 首行调用 `ensureWebConsultationAllowed()`，阻止直接调用事件处理函数绕过禁用按钮。
+3. 仅在允许后调用 `getCallSignature()`；异步响应回来再检查一次，防止请求跨过截止时间后打开聊天。
+
+这说明本次需要补足的重点是按钮“已停用”的直观状态和回归覆盖，而不是为该入口首次增加门禁。主代理正在负责界面修改，本审计未参与改动。
+
+服务端调用链：
+
+| 层 | 覆盖 |
+| --- | --- |
+| `admin/src/api/tcm.ts:205` | 接诊台取签名请求使用 `/tcm.diagnosis/getCallSignature`。 |
+| `server/app/adminapi/config/route.php:15` | 顺序为 Init → Login → Auth → DoctorWebConsultation；正常身份和权限认证在迁移门禁之前。 |
+| `server/app/adminapi/http/middleware/DoctorWebConsultationMiddleware.php:18` | 命中后返回 `code=0`、`reason=doctor_web_consultation_expired` 和截止时间；不进入控制器，不触发退出登录。 |
+| `server/app/adminapi/service/DoctorWebConsultationPolicy.php:45` | 精确覆盖 `tcm.diagnosis` 的 `getCallSignature`、`startCall`、`getDoctorSignature`、`getPatientSignature`，不区分动作大小写。 |
+| `server/app/adminapi/controller/tcm/DiagnosisController.php:337`、`:353` | 常规取签名/发起通话都走上述控制器与全局中间件。 |
+| `admin/src/components/chat-dialog/index.vue:260` | 通话预检前后均检查迁移状态；SDK `call/calls/groupCall/accept` 还有守卫，已打开的聊天也不能继续发起医生网页通话。 |
+
+`endCall`、绑定房间、录音和文字收尾保持可用；医助 `watchCall` 保持可用，其业务逻辑要求当前管理员是该诊单指派的医助。桌面请求按明确的工作站/旧 HTTPX UA 兼容放行，但只要带 Origin、Referer 或 Sec-Fetch 浏览器信号就按网页处理。`terminal=1` 不作为网页判据，因此不会误停旧工作站。
+
+既有边界仍然存在：UA 只是兼容识别，不是设备身份认证；后端不会撤销截止前已签发的腾讯签名，已打开网页的通话预检和 SDK 守卫仍有必要。本次正常产品流程不需要调整这些范围。
+
+## 实际验证结果
+
+| 命令/检查 | 结果 |
+| --- | --- |
+| 在 `admin/` 执行 `node --test tests/doctor-web-consultation.test.cjs tests/appointment-call-mode.test.cjs` | **19 项通过，0 失败**。这是本轮审计开始时的基线；主代理随后正在修改界面/对应测试，集成后应重跑。 |
+| 在 `server/` 执行 `php tests/DoctorWebConsultationPolicyTest.php` | **未完成**。首个默认配置读取即因 `is_readable()` 为 false 抛出“配置文件不存在或不可读”。`php -n` 同样失败。 |
+| PHP 文件检查 | `is_file(config/doctor_web_consultation.php) === true`、`is_readable(...) === false`，但 `file_get_contents(...)` 和显式 `require` 成功。属于本机 PHP/Windows 文件可读性检查现象，未修改 ACL、配置或代码，不据此判断线上异常。 |
+| 对真实 Policy 类显式传入仓库配置执行独立只读矩阵 | **34 条断言通过**：四个受限动作的截止前/当刻/后一秒、root/医助/管理豁免、混合字符串医生角色、新旧桌面 UA、浏览器头优先级以及只读/收尾路由。实际 cutoff 输出 `2026-10-25T00:00:00+08:00`。 |
+
+集成补充：主代理随后回报修改后的 **20 项前端回归全部通过**，包括真实接诊台 setup/template 与 Hook 的医生停用、签名跨截止、root/医助继续可用；这些新增验证由主代理执行。
+
+额外发现：`server/tests/DoctorWebConsultationPolicyTest.php:57`–`:70` 仍把真实默认配置断言写死为 **2026-10-24**，而当前配置是 **2026-10-25**。即使解决本机 `is_readable()` 问题，这个默认日期断言也会不匹配。该测试应使用注入的固定 fixture 验证固定日期，另从实际默认配置派生预期值验证热加载；本审计按只读分工未修复。
+
+## 建议最小回归集
+
+1. 保留现有纯策略和 Hook 测试：截止前/当刻、服务器时间偏移、配置刷新失败恢复、root 和医助豁免、混合医生角色。它们已经覆盖核心逻辑，不必重复新增同义单元测试。
+2. 增加真实接诊台 SFC 的患者行回归：医生过期时按钮实际 disabled 且明确显示“已停用”及桌面提示；直接调用 `handleCall` 不请求签名、不打开聊天；管理员和医助按钮保留可用。
+3. 在同一接诊台测试中覆盖一个异步边界：取签名时尚可用、返回前截止，返回后不打开聊天。这是当前已有代码但之前没有接诊台专属测试的保护点。
+4. 页面组合测试更新为患者列表不含整块公告；接诊台和预约列表按当前产品需求保留。原有“所有页面必须有公告”的编译断言应随主代理修改调整，不能只删除模板而保留旧断言。
+5. 重跑上述两份前端测试；后端规则未改，无需扩大服务端改动。报告完整 PHP 测试的本机可读性限制和默认日期断言问题，避免把它记为已通过。
+
+审计产物仅本文件。未更改其他文件。
diff --git a/server/config/doctor_web_consultation.php b/server/config/doctor_web_consultation.php
index bc3d25be4..12b9cfe6f 100644
--- a/server/config/doctor_web_consultation.php
+++ b/server/config/doctor_web_consultation.php
@@ -10,7 +10,7 @@
  * 修改本文件后下一次接口请求生效，无须重新打包前端或清理框架配置缓存。
  */
 return [
-    'cutoff_at' => '2026-10-25 00:00:00',
+    'cutoff_at' => '2026-10-28 00:00:00',
     'approaching_hours' => 48,
     'urgent_hours' => 24,
 ];